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Table 4 What works for whom, how and under which circumstances

From: Exclusion of context knowledge in the development of prehospital guidelines: results produced by realistic evaluation

What works

– Guidelines with a degree of force

– Guidelines which are connected to patient notes

– Guidelines in a format adjusted for use outside the ambulance

– Guidelines in a format where it is easy to look up information

– Guidelines with a degree of flexibility

– Systems which collect all the information in one place

– Implementation strategy based on education, simulation and interactive activities

– Development of guidelines involving people with context knowledge

For whom

– Both experienced and inexperienced ambulance personnel

– The team, who can work on a common strategy

– The patients, who are treated more equally

How

– The guidelines are mostly used implicitly because of the format

– Protocols with some form of checklist or algorithm are used more explicitly

Under which circumstances

– On route to the patient as preparation

– Outside the ambulance to check medical doses

– In the ambulance during transport to triage the patient

– When the patient is part of a pathway